Strategies to Reduce Person-to-Person Transmission during Widespread Escherichia coli O157:H7 Outbreak

During the Escherichia coli O157:H7 outbreak in 2006 in the United States, the primary strategy to prevent illness was to advise consumers not to eat spinach. No widespread warnings were issued about preventing person-to-person (secondary) transmission. A disease transmission model, fitted to the cu...

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Main Authors: Edmund Y.W. Seto, Jeffrey A. Soller, John M. Colford
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2007-06-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/13/6/06-1264_article
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author Edmund Y.W. Seto
Jeffrey A. Soller
John M. Colford
author_facet Edmund Y.W. Seto
Jeffrey A. Soller
John M. Colford
author_sort Edmund Y.W. Seto
collection DOAJ
description During the Escherichia coli O157:H7 outbreak in 2006 in the United States, the primary strategy to prevent illness was to advise consumers not to eat spinach. No widespread warnings were issued about preventing person-to-person (secondary) transmission. A disease transmission model, fitted to the current data, was used to investigate likely reductions in illnesses that could result from interventions to prevent secondary transmission. The model indicates that exposure to contaminated spinach occurred early in the outbreak and that the secondary illness transmission was similar to that in previous E. coli outbreaks (≈12%). The model also suggests that even a modestly effective strategy to interrupt secondary transmission (prevention of only 2%–3% of secondary illnesses) could result in a reduction of ≈5%–11% of symptomatic cases. This analysis supports the use of widespread public health messages during outbreaks of E. coli O157:H7 with specific advice on how to interrupt secondary transmission.
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spelling doaj.art-e727d865ec4a4a20b045db95fdfa336e2022-12-22T03:40:20ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592007-06-0113686086610.3201/eid1306.061264Strategies to Reduce Person-to-Person Transmission during Widespread Escherichia coli O157:H7 OutbreakEdmund Y.W. SetoJeffrey A. SollerJohn M. ColfordDuring the Escherichia coli O157:H7 outbreak in 2006 in the United States, the primary strategy to prevent illness was to advise consumers not to eat spinach. No widespread warnings were issued about preventing person-to-person (secondary) transmission. A disease transmission model, fitted to the current data, was used to investigate likely reductions in illnesses that could result from interventions to prevent secondary transmission. The model indicates that exposure to contaminated spinach occurred early in the outbreak and that the secondary illness transmission was similar to that in previous E. coli outbreaks (≈12%). The model also suggests that even a modestly effective strategy to interrupt secondary transmission (prevention of only 2%–3% of secondary illnesses) could result in a reduction of ≈5%–11% of symptomatic cases. This analysis supports the use of widespread public health messages during outbreaks of E. coli O157:H7 with specific advice on how to interrupt secondary transmission.https://wwwnc.cdc.gov/eid/article/13/6/06-1264_articlemathematical modeloutbreakE. coli O157:H7risk assessmentsecondary transmissiondiarrhea
spellingShingle Edmund Y.W. Seto
Jeffrey A. Soller
John M. Colford
Strategies to Reduce Person-to-Person Transmission during Widespread Escherichia coli O157:H7 Outbreak
Emerging Infectious Diseases
mathematical model
outbreak
E. coli O157:H7
risk assessment
secondary transmission
diarrhea
title Strategies to Reduce Person-to-Person Transmission during Widespread Escherichia coli O157:H7 Outbreak
title_full Strategies to Reduce Person-to-Person Transmission during Widespread Escherichia coli O157:H7 Outbreak
title_fullStr Strategies to Reduce Person-to-Person Transmission during Widespread Escherichia coli O157:H7 Outbreak
title_full_unstemmed Strategies to Reduce Person-to-Person Transmission during Widespread Escherichia coli O157:H7 Outbreak
title_short Strategies to Reduce Person-to-Person Transmission during Widespread Escherichia coli O157:H7 Outbreak
title_sort strategies to reduce person to person transmission during widespread escherichia coli o157 h7 outbreak
topic mathematical model
outbreak
E. coli O157:H7
risk assessment
secondary transmission
diarrhea
url https://wwwnc.cdc.gov/eid/article/13/6/06-1264_article
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AT johnmcolford strategiestoreducepersontopersontransmissionduringwidespreadescherichiacolio157h7outbreak